Is Medical Marijuana right for you?

By: Bruce Saltzman M.D.
Board Certified Anesthesiologist

At Rittenhouse, we believe that medical marijuana may be useful in the treatment of the following conditions and you should be discussing these conditions at your visit:

  • Amyotrophic lateral sclerosis.
  • Autism.
  • Cancer, including remission therapy.
  • Crohn's disease.
  • Damage to the nervous tissue of the central nervous system (brain-spinal cord) with objective neurological indication of intractable spasticity, and other associated neuropathies.
  • Dyskinetic and spastic movement disorders.
  • Epilepsy.
  • Glaucoma.
  • HIV / AIDS.
  • Huntington's disease.
  • Inflammatory bowel disease.
  • Intractable seizures.
  • Multiple sclerosis.
  • Neurodegenerative diseases.
  • Neuropathies.
  • Opioid use disorder for which conventional therapeutic interventions are contraindicated or ineffective, or for which adjunctive therapy is indicated in combination with primary therapeutic interventions.
  • Parkinson's disease.
  • Post-traumatic stress disorder.
  • Severe chronic or intractable pain of neuropathic origin or severe chronic or intractable pain.
  • Sickle cell anemia.
  • Terminal illness.

The State of Pennsylvania has legalized the use of medical marijuana.  Starting sometime next year, dispensaries will be opening and patients with the following serious medical conditions will be able to get medical marijuana. To purchase medical marijuana, a patient will need to be under the continuing care of a physician who is registered with the Department of Health. The physician may then provide a signed certification to the patient stating that the patient has a serious medical condition. The patient must then apply to the department for an identification card. Once the patient receives an identification card, he or she can purchase medical marijuana at an authorized dispensary.  In the upcoming months we will be discussing many of the below conditions and how medical marijuana may be useful in their treatment, and how to obtain the patient certification from our practice.
                                             
Cannabis, also known as marijuana is a psychoactive drug from the Cannabis plant used medically and recreationally.  The main psychoactive chemical of cannabis is tetrahydrocannabinol (THC) (THC); one of 483 known compounds in the plant, including at least 65 other cannabinoids.   Cannabis can be used by smoking, vaporizing, within food, or as an extract.    As early as 2737 B.C., the mystical Emperor Shen Neng of China was prescribing marijuana tea for the treatment of gout, rheumatism, malaria and poor memory.   The criminalization of Marijuana by the Harrison act inhibited medical research on the plant.  The new research on marijuana in the 21st Century has led to the characterization of two receptors for cannabis in humans, CB1 and CB2. These receptors work through a unique feedback  mechanism on G protein–coupled receptors(GPCRs), again too complex for this setting.  GPCRs, which transduce extracellular signals into intracellular effector pathways, include about 900 members and represent the most prominent family of validated pharmacological targets in biomedicine.  Advair and Abilify are among the drugs that work with this receptor.  ~4% of the protein coding genome is devoted to these receptors. 

Dr. Saltzman’s background in Pharmacokinetics and the dynamics of medications has led to him researching the significant benefits of medical marijuana and he has received his certification from the state of Pennsylvania and will be seeing patients at our office for medical marijuana evaluations.

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